Rug Iv Crosswalk

Payment is determined by categorizing patients into groups based on their care and resource needs.

Rug iv crosswalk. Rug iv classification system 66 group with medicare case mix indices for 10 1 2010 instructions. Domain adl score end splits or special requirements rug iv group cmi cms set f01 extensive services at least one of the following tracheostomy care while a resident o0100e2. Use the hierarchical classification worksheet in chapter 6 of the rai manual. At richter healthcare consultants our job is to stay on top of regulatory changes and help ensure facilities like yours reduce the risk for negative outcomes.

Having a minimum adl dependency score of 2 or more. Rug iv is a patient classification system for skilled nursing patients used by the federal government to determine reimbursement levels. Don t delay changes to your medicaid reimbursement are retroactive to oct. Rug iv 66 group model calculation worksheet for snfs page 1 of 29 october 12 2010 the purpose of this rug iv version 1 00 calculation worksheet for the 66 group model is to provide a step by step walk through to manually determine the appropriate rug iv classification based on the data from an mds assessment.

Rugs iii to rugs iv 57 crosswalk. This method is stemming from the snf pps fy2012 final rule and was previously rug iii. 1 2015 staying up to date with state regulatory changes and deadlines is a headache you don t have time for. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92.

Mds 3 0 rug iv decision tree 48 grouper select the rug iv group with the highest case mix index cmi for which the resident meets the required conditions. Rugs iii to rugs iv 57 crosswalk. Rugs iii to rugs iv 57 crosswalk rugs iii current score crosswalk information rugs iv 57 score therapy rugs iv adl score depression restorative nursing programs additional criteria se3 no therapy requirement 2 16 na residents satisfying the following twoconditions. The worksheet takes the grouper logic.

At richter healthcare consultants our job is to stay on top of regulatory changes and help ensure facilities like yours reduce the risk for continue reading free resource. This system primarily. Having a minimum activity of daily living adl dependency score of 2 or more. Determine all of the rug iv groups for which a resident qualifies not just the first group for which the resident qualifies.